Hugh Sims
Bowling Green,Kentucky
Summary
High performing leader in the medical field with a proven background in leadership and care management. Adept at fostering superior clinical operations while managing programs and directing teams. Recognized leader that has and is holding multiple leaderships roles that serve to secure accuracy and quality of various aspects of operations. Possesses vast experience in cost management, program management and implementation. Committed to working collaboratively with staff to provide comprehensive medical care.
Overview
13
13
years of professional experience
Work History
OTOLARYNGOLOGIST
Commonwealth Health Corporation
10.2010 - Current
- Exercises leadership serving as a Senior Partner for ENT practice
- Strategic vision and execution of strategic objectives for 5 provider ENT practice
- Co-owner and manager of the retail hearing aid business
- Leverages knowledge in adult and pediatric ENT (clinical and surgical), includes nasal and sinus problems, ear infections both acute and chronic problems, managed medically or surgically when needed
- Demonstrates sound business acumen in the field while operating as business owner for a hearing aid business in collaboration with ENT practice
- Optimizes operations after the successfully implementing EMR into the practice; established and incorporated an Electronic Health Record system to enhance operations
- Manages all patient related functions while overseeing the medical and surgical management of adult and pediatric ear, nose and throat problems, and outpatient/inpatient clinical/surgical aspects
- Delivers comprehensive oversight for design and completion of multiple practice locations.
MEDICAL DIRECTOR
Med Center Health Physician Group
04.2013 - Current
- Serves as the Senior Medical Administrative position in a clinically integrated network (CIN) and ACO
- Strategically negotiates financial contracts to ensure desired outcomes for all involved parties
- Oversees network performance on all value-based contracts for CIN and ACO
- Responsible for communication of strategic objectives on an ongoing basis through multiple communication lines including email, newsletter and annual meeting
- Responsible for communication and presentation of network performance at quarterly PCP meetings and annual meetings for CIN and ACO
- Leadership over CIN and ACO which achieved savings of over 2 million dollars in value-based contracts
- Oversees performance-based calculation and distribution of network savings
- Accurately manages costs for medical/clinical services; additionally handles utilization reviews and ensures the quality of all operations
- Commits to fostering open lines of communication amongst all levels of staff by attending meetings
- Standardizes operations by developing and overseeing the implementation of policies and procedures
- Strengthens performance by overseeing clinical peer reviews and providing constructive feedback
- Ensures quality in documentation and care planning to meet/exceed expectations
- Quickly addresses and resolves patient complaints; also addresses emergency issues and physician relation aspects
- Achieves satisfactory outcomes of the Transitional Care Program; conceptualizes and oversees the implementation of 3 BPCI programs and Million Hearts Program, the Palliative Care Program
- Excels in taking on various leadership roles that includes: Nurse navigator program for CHF, COPD, AMI; Chair of Quality Program for CIN; Board of Managers of CIN; Payor Committee of CIN Medical Director of ACO Collaborative ACO
- Responsible for the evaluation, selection and implementation of secure messaging platform for CIN.
WKHL Research Institute
Western Kentucky Heart And Lung Research Institute
01.2019 - Current
- Serves as a member on the Institutional Review Board
- Participates in study design, protocols for residents, fellows and medical students in the healthcare system
- Continuously drives excellence by assessing and reviewing research projects for residents and medical students.
Education
MBA - Business Administration
Quantic School of Technology And Business
Washington D.C. 06.2021
M.D. - Otolaryngology
University of Florida
Gainesville, FL06.1993
M.D. - Medicine
University of Alabama School of Medicine
Birmingham, AL06.1989
Master of Science - Biology
Birmingham Southern College
Birmingham, AL05.1985
Skills
- Strategic Leadership & Development
- Data Analysis & Interpretation
- Team Leadership & Education
- Physician Relations
- Cost Management
- Contract Negotiation
- Clinical Peer Review
- Utilization Review
- Policies & Procedures Development
- Conflict Resolution
- Care Planning
- Program Management & Implementation
- Patient Management
- Practice Management
- Performance Tracking
- Quality Improvement
- Business Management
- Relationship Management
- EMR Implementation
Education Certifications
- Executive Master of Business Administration, Quantic School of Business and Technology, Washington DC
- Otolaryngology Residency, General Surgery Internship, University of Florida, Gainesville, Florida
- Medical Doctor, University of Alabama, School of Medicine (UAB), Birmingham, Alabama
- Bachelor of Science, Biology, Birmingham-Southern College, Birmingham, Alabama
- Board Certification, American Academy of Otolaryngology-Head and Neck Surgery
Leadership Experience
- Medical Director, Enspire Quality Partners, LLC, 2021-Present
- Physician, Member at Large Commonwealth Health Corporation Board of Directors, 2016-Present
- Member at Large Physician Advisory Committee, 2015-Present
- Chair; Quality Committee, Enspire Quality Partners, LLC, 2012-2019
- Board of Managers, Vice Chairman, Enspire Quality Partners, LLC, 2012-2019
- Physician, Member at Large, Medical Center Board of Directors, 2009-2015
- Medical Executive Committee, The Medical Center, Bowling Green, 2010-2012
- Chief of Surgery, Greenview Regional Hospital, 2000
- President of Medical Staff, The Medical Center, Bowling Green, 2011
- Chair; Performance Improvement Committee, The Medical Center, Bowling Green, 2010
- Chair; Department of Surgery, The Medical Center, Bowling Green, 2009
- Board Member, Greenview Regional Hospital, 2003-2008
- Chairman of the Board of Directors, Greenview Regional Hospital, 2005
- Chair; Department of Surgery, The Medical Center, Bowling Green, 2003
- President of Medical Staff, Greenview Regional Hospital, 2002
Timeline
WKHL Research Institute
Western Kentucky Heart And Lung Research Institute
01.2019 - Current
MEDICAL DIRECTOR
Med Center Health Physician Group
04.2013 - Current
OTOLARYNGOLOGIST
Commonwealth Health Corporation
10.2010 - Current
MBA - Business Administration
Quantic School of Technology And Business
M.D. - Otolaryngology
University of Florida
M.D. - Medicine
University of Alabama School of Medicine
Master of Science - Biology
Birmingham Southern College
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